Individual
JESSICA A. VANCLEAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
2050 KENNY RD, COLUMBUS, OH 43221-3502
(614) 293-7087
(614) 293-4280
Mailing address
700 ACKERMAN RD, SUITE 570, COLUMBUS, OH 43202-1559
(614) 293-7087
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
8735304
TN
133V00000X
Registered Dietitian
Primary
LD7991
OH
Other
Enumeration date
05/28/2014
Last updated
12/22/2016
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